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Wholesale Information Request

We welcome enquiries from stores interested in adding Vital Botanicals products to their lineup.

If you are interested in opening a wholesale account with Vital Botanicals please provide the following information to request our wholesale terms and an order form. If you prefer, you can also print out this form and fax your completed request to (877) 517-2662

You will need to furnish us with a valid resale number and a brief description of your store. Once you have opened a wholesale account, you may order from us by Fax, Phone or online.

Contact Information

* Company:

* Contact Name:

* Address1:

Address2:

* City:

* State: * Zip:

* Daytime Phone:

    Fax:

* Email:

    Website:

Resale #:

Type of store,
Lines carried
etc. :

Notes:


* Information presented at Vitalbotanicals.com is for educational purposes only; statements about products and health conditions have not been evaluated by the U.S. Food & Drug Administration and are not approved to diagnose, treat, cure or prevent disease.